Lepromatous Leprosy With High Bacillary Index on Histopathology and Clinical Correlation-a Case Report; A Rare Finding in Western Up.

Leprosy, caused by Mycobacterium leprae, remains a challenging endemic disease due to its complex nature. We report a case of a 13-year-old male presenting with multiple erythematous nodules, hypopigmented patches, and sensory loss. Histopathological examination revealed diffuse dermal infiltration with foamy macrophages containing acid-fast bacilli, confirming lepromatous leprosy. This case underscores the importance of correlating clinical and histopathological findings for accurate diagnosis and management, emphasizing early detection to prevent long-term complications and transmission.